Active NPI
Lashawnda Jenkins, RDH
- Dental Hygienist
- Boulder, CO
National Provider Identifier
1871283242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 002026636
- Practice address
- 3125 28TH St
Boulder, CO 80301-1315 - Phone
- (803) 567-9950
- NPI assigned
- May 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 002026636 | CO | Primary |
Addresses
Primary practice location
3125 28TH St
Boulder, CO 80301-1315
Mailing address
12754 Spirit Bound Way
Charlotte, NC 28273-7711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002026636 | CO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1871283242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12754 SPIRIT BOUND WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282737711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 28TH ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011315",
"telephone_number": "803-567-9950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "LASHAWNDA",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "002026636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.